DIVINE BESONG ARREY AGBOR MD
NPI 1821719550
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since September 09, 2022PECOS Enrolled
355 BARD AVE DEPT OF, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2025, Sep 9, 2022 (2 updates tracked since 2022).

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About DIVINE BESONG ARREY AGBOR

This page provides the complete NPI Profile along with additional information for Divine Besong Arrey Agbor, a primary care provider established in Staten Island, New York with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1821719550 assigned on September 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821719550 Verify this NPI
Provider Name
DIVINE BESONG ARREY AGBOR MD
Gender
Male
Entity Type
Individual
Location Address
355 BARD AVE DEPT OF STATEN ISLAND, NY 10310
Location Phone
(718) 818-2419
Mailing Address
1 GUTHRIE SQ SAYRE, PA 18840
Mailing Phone
(570) 887-3778
Is Sole Proprietor?
No
Enumeration Date
09-09-2022
Last Update Date
09-05-2025
Code Navigator

A primary care provider (PCP) like Divine Besong Arrey Agbor sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1 Guthrie Sq
    Sayre, PA 18840
    (570) 887-3778

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Divine Besong Arrey Agbor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DIVINE BESONG ARREY AGBOR MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF, 1ST FLOOR
STATEN ISLAND, NY 10310
Internal Medicine
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821719550, enumerated as an "individual" on September 09, 2022.

The provider is located at 355 BARD AVE DEPT OF STATEN ISLAND, NY 10310 and the phone number is (718) 818-2419.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.